Understanding and Managing Nosebleeds

A Patient's Guide to Epistaxis Prevention and Treatment

Urgent Care

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Last updated: Mar 24, 2025

What Is a Nosebleed?

A nosebleed (medical term: epistaxis) occurs when blood vessels in the nose's lining break and bleed. They can affect either one or both nostrils and vary in severity.

Types of Nosebleeds

  • Anterior nosebleeds: Most common (90% of cases)
    • Bleeding from front part of nose
    • Usually easier to treat
  • Posterior nosebleeds: Less common but more serious
    • Bleeding from deep inside nose
    • May require medical attention

Common Causes

  • Dry air/low humidity
  • Nose picking
  • Trauma/injury
  • High blood pressure
  • Blood-thinning medications
  • Upper respiratory infections

First Aid Treatment

  1. Stay calm and sit upright
  2. Lean slightly forward to prevent blood from flowing down throat
  3. Pinch the soft part of your nose firmly for 10-15 minutes
  4. Breathe through mouth while holding nose
  5. Apply ice to nose and cheeks

When to Seek Medical Help

  • Bleeding continues after 30 minutes
  • Unusually heavy bleeding
  • Difficulty breathing
  • Frequent recurring nosebleeds
  • After head injury

Prevention Strategies

  • Keep nasal lining moist with saline spray
  • Use humidifier in dry conditions
  • Avoid nose picking
  • Don't blow nose forcefully
  • Use prescribed medications as directed

Risk Factors

  • Age (very young/elderly)
  • Medications (anticoagulants)
  • Medical conditions (hypertension)
  • Seasonal allergies
  • Recent nasal surgery

Long-term Management

Consult healthcare provider if experiencing:

  • Frequent nosebleeds
  • Unexplained bleeding
  • Other concerning symptoms

Professional Treatment Options

  • Chemical/electric cauterization
  • Nasal packing
  • Surgery for severe cases
  • Medication adjustments if needed

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